Dr Cottingham,
further pursuing the role of devils advocate, can I ask how many patients
your unit thrombolyses at 4am? And how many it thrombolyses in hours?
Of course I can see the point of your comments, but we probably aren't
talking about a large number of patients here, are we?
All the best
Paul M Bailey MB BS FACEM
Emergency Physician
Western Australia
----- Original Message -----
From: "Rowley Cottingham" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, October 18, 2002 1:12 PM
Subject: Re: prehospital thrombolysis
> The point about PTCA is an interesting one. We know that both thrombolysis
and PTCA can deliver restoration of patency. We
> also know that you should have PTCA if there is a single short stenosis.
Now, if we push like hell for thrombolysis, who delivers
> it? And if we push like hell for PTCA, who has to get out of bed at 4am to
deliver it?
>
> The cynic in me knows perfectly well why cardiologists are pushing
thrombolysis.
>
> Best wishes,
>
>
> Rowley Cottingham
>
> [log in to unmask]
> http://www.emergencyunit.com
>
|